| Name: | Premium Compounding, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 25 Apr 2018 (7 years ago) |
| Entity Number: | 000-517-026 |
| Register Number: | 000517026 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | 3220 HWY 31 SOUTH BLDG A-2DECATUR, AL 35603 |
| Principal Address ZIP Code: | 35603 |
| Authorized Capital: | 1,000 @ $200/PV |
| Paid Share Capital: | $200,000 |
Activities
PROVIDE PHARMACY COMPOUNDING SERVICES;ANY LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013408772 | 2018-05-29 | 2018-05-29 | 3220 HIGHWAY 31 S STE A2, DECATUR, AL, 356031731, US | 3220 HIGHWAY 31 S STE A2, DECATUR, AL, 356031731, US | |||||||||||||||||
|
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| Phone | +1 256-566-8011 |
Authorized person
| Name | MR. SAMUEL MARION COSTELLO |
| Role | PRESIDENT |
| Phone | 2565668011 |
Taxonomy
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | 114813 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COSTELLO, SAMUEL M | Agent | 3220 HWY 31 SOUTH BLDG A-2DECATUR, AL 35603 |
| Name | Role | Address |
|---|---|---|
| COSTELLO, SAMUEL M | Director | 3220 HWY 31 SOUTH BLDG A-2DECATUR, AL 35603 |
| CLAY, RICKEY E | Director | 3220 HWY 31 SOUTH BLDG A-2DECATUR, AL 35603 |
| Name | Role | Address |
|---|---|---|
| COSTELLO, SAMUEL M | Incorporator | 3220 HWY 31 SOUTH BLDG A-2DECATUR, AL 35603 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
